Ethical Consideration of Aging : Especially Patients with Alzheimer Disease (original) (raw)

Observance of professional ethics in the performance of invasive procedures by nurses

Medical Ethics Journal, 2015

Nurses are faced with challenging ethical issues, and this is making hard making decisions for them. The aim of this study was to determine respect to ethics in performing invasive procedures in educational hospitals in Zahedan University of medical sciences. This study is cross - sectional study and samples were included 200 nurses working in adults parts of selected hospitals. The research instrument was a questionnaire and checklist questionnaire including demographic information about the subjects. The checklist includes 15 questions or desired behavior on the performance in the process of bloodletting venipuncture. Researchers with refer to the adults parts and access to specimens, gave the questionnaires to the data units and then they completed related checklist separately for two observations for at least 15 days, each time for a fulltime work. Data were analyzed by descriptive statistics and chi-square tests, exact Fisher's test and Pearson correlation. Results showed that the high percentage of research units have had bad performance in ethical process. So it is suggested that managers, planners and who training nursing pay attention to respect to professional ethics by nurses with educational programs during working, educational workshops and formulate needed policies.

Independency level in elderly blind war survivors: a cross sectional study

Iranian Journal of Ageing, 2012

Objectives: This study is aimed to investigate the independency status of the male elderly blind war survivors. Methods and Materials: The study was a cross sectional study on 312 male elderly blind war survivors over 40-year in Mashad city (Iran). The analysis compared among 3 age groups; 40-49, 50-59 and over 60 years old. Barthel index and Lawton-Bordy were used to assess activities of daily living (ADL). Data analysis conducted in SPSS_16 using ANOVA, cross tables and Pearson tests. Results:: Participants were ...

Psychometric Properties of Schizophrenia Caregivers Questionnaire

Journal of Research in Behavioural Sciences, 2020

Aim and Background: The burden of caring for the mentally ill is effective as an important factor in maintaining the patient in the community. There is no specific measurement tool for assessing and measuring this issue in schizophrenic patients. The aim of this study was to evaluate the psychometric properties of the Schizophrenia Caregivers Questionnaire. Methods and Materials: The design of the present study was descriptive-correlational. About 147 caregivers of schizophrenia patients admitted to Roozbeh Psychiatric Hospital and the Family Support Organization of Schizophrenia patients in Tehran were selected as a sample. Three questionnaires of schizophrenia caregivers, quality of life questionnaire and positive and negative symptoms questionnaire were used to collect data. Data were analyzed using Cronbach's alpha, correlation coefficient and heuristic factor analysis. Findings: In exploratory factor analysis, six factors (caregiver ability, interpersonal relationships, independence, social status, caregiver concern and caregiver fatigue) were extracted. In total, these six factors were able to explain 70.7% of the variance of the 32 questions of this questionnaire. The internal consistency of the subscales was also obtained with Cronbach's alpha in the desired range. The Varimax rotating matrix showed that all questions were usable. Conclusions: The results of statistical analysis show that the schizophrenia patient care burden questionnaire has acceptable psychometric properties and can be used as a valid tool (with a validity coefficient of 0.67) in the Iranian population.

The effect of religious beliefs on general health and happiness of mothers who has or has not children with intellectual disability

Journal of Research in Rehabilitation Sciences, 2014

Introduction: Birth of a child with intellectual disability can be considered as an adverse event by families. On this occasion all family members, especially mothers, are at risk for general health problems. The aim of this study was to investigate the effect of religious beliefs on general health and happiness among mothers who has or has nor children with intellectual disability. Materials and methods: The current research was a correlation study. 131 children with intellectual disability and also 131 normal children, matched in characteristics rather than mental ability, were recruited for this study and their mother completed such questionnaires as the general health, the Oxford happiness, and the basic religious beliefs questionnaire. Finally, the data were analyzed using the correlation and regression tests by SPSS software. Results: The results showed that there was a significant correlation between religious beliefs and mental health of intellectually disabled children and normal children’s mothers at r=0/932 and r=0/817, respectively. Religious beliefs in mothers of intellectually disabled children was less than mothers of normal children (p<0/01). A positive significant correlation was also found between religious beliefs and happiness in intellectually disabled children’s mothers (r=0/907). Mothers of the two groups were different in terms of religious beliefs, happiness and mental health, as these factors were lower in mothers of intellectually disabled children (p<0/01). Conclusion: Based on research findings, it can be concluded that mothers of intellectually disabled children might have more issues in finding happiness in life, their mental health and their religious beliefs compared to mothers of normal children.

The effect of home-based stroke rehabilitation on quality of life of stroke survivors and their family caregiver's strain

Evidence Based Care, 2013

Background: Rehabilitation is a main part of stroke treatment. Stroke causes reduced quality of life (QOL) among stroke survivors and significant strain on Caregivers.However, family role on the rehabilitation team andprogram should present on family-based. Aim: The effect of home-based stroke rehabilitation on quality of life of stroke survivors and their family caregiver strain. Method: This study was Quasi-Experimental Research. The target populations were all ischemic stroke patients who were admitted to Dr.Shariaati Hospital and their caregiver. Convenience sampling was used in which 30 patients and their caregivers who had entrance criteria were selected; and data were collected based on the demographic characteristic, Stroke specific quality of life scale (SS-QOL) and Caregiver Strain Index (CSI) instruments. The participants received stroke rehabilitation program from hospitalization to 8weeks after discharging from hospital at their home. The study consisted 3 sessions of face to face patient and their family caregiver education in 3 continues day after intensive period of the stroke event. The CSI and SS-QOL were assessed before and after the intervention. The paired ttest, Bunferoni and variance analysis were used for data analyzez. Results: The mean score for CSI befor intervention was 33/3±15/5 and after intervention was 24/6± 11/1 (p<0/01). In addition, the mean score for SS-QOL befor an intervention was 136/1±34/8 and after the intervention was 191±35/0 (p<0/01). Dimensions of movement and function of upper extremities in the SS-QOL showed significant differences between other aspects of the questionnaire. Conclusion: Envisage home-based stroke rehabilitation program on therapeutic plan can cause more functional patients and reduc caregiver strain, and health improvement for stroke survivors and their family caregivers.

The Applied of Health Belief Model in Knowledge, Attitude and Practice in People Referred for Diabetes Screening Program: An Educational Trial

Journal of Rafsanjan University of Medical Sciences, 2015

Background and Objective: Diabetes is a chronic disease capable of causing serious complications affecting the circulatory and nervous systems, kidneys, eyes, and feet, and is associated with high rates of morbidity and mortality. Given the enormous economic and social burdens of diabetes, screening is performed in health care service centers.. This study was conducted to determine the effectiveness of the Health Belief Model (HBM) on, Knowledge, Attitude and Practice of people over 30 years old referred for diabetes screenings. Materials and Methods: This research was an educational trial study. Eighty people over 30 years old attending health centers in Sirjan town, were selected to participate in this study (40 in intervention group and 40 in control group). The intervention was conducted over two sessions in 60 minutes. Data were collected by a validated and reliable questionnaire (64 questions) before intervention and three months after that. Data was analyzed by chi-square, fi...

Associated Factors with Safety Principles Precaution of Working with Chemotherapeutic Agents among Ahvaz University of Medical Sciences Nursing Staff

Iran Occupational Health, 2015

Background and aims: Many antineoplastic agents are known to be carcinogenic and mutagenic. Nurses are the main groups at risk to these drugs. The purpose of this study was to determine of associated factors with safety principles precaution of working with chemotherapeutic agents among nursing staff. Methods: This is a descriptive-analytical study. Based on the census method, 59 nurses and healthcare employees working in chemotherapy wards in hospitals affiliated to Ahvaz Jundishapur University of Medical Sciences were recruited in the study. Data were collected using a questionnaire to assess self-efficacy, barriers to work, perceived risk, work place safety and nurseschr('39') performance. The data were analyzed using SPSS.v19. Results: Shortage of protective equipment and lack of time were the most barriers to safety practice and mismatch between the number of nurses and patients and failure to provide the best protective equipment were the most common factors to reduce workplace safety. The results of the analysis suggest significant positive correlation between self-efficacy and safety practice (r=0.34,p=0.007), work place safety and safety practice (r=0.37,p=0.003) and significant negative correlation between barriers to work and safety practice (r=-0.36,p=0.004). There was no significant correlation between perceived risk and safety practice. Hierarchical multiple regressionanalysisshowed that the individual factors and organizational factors explained %12.3, %17.8 of the variance of safety practice respectively. Conclusion: Organizational factors have a major impact on safety practice, therefore to improve the nurseschr('39') performance for safety practice remove barriers to work and workplace safety seems to be necessary.